(Gastrointestinal Fistula; Entero-enternal Fistula)
An enterocutaneous fistula is an abnormal connection between the intestines and the skin. Intestinal or stomach contents can leak through this connection. The contents may leak into another part of the body or outside of the body.
This is a potentially serious condition. You will need care from your doctor.
Most enterocutaneous fistulas develop as a complication of bowel surgery. Other causes include:
Factors that may increase your chance of enterocutaneous fistula include:
If you have any of these symptoms, do not assume it is due to a fistula. These symptoms may be caused by other conditions.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a colon and rectal surgeon.
Images may be taken of your bodily structures. This can be done with:
A fistula may be able to heal on its own over 2-8 weeks. Talk with your doctor about the best treatment plan for you. Treatment options include the following:
American Gastroenterological Association
Crohn’s and Colitis Foundation of America
Crohn's and Colitis Foundation of Canada
Cobb A, Knaggs E. The nursing management of enterocutaneous fistulae: a challenge for all. BrJCommunity Nurs . 2003;8;9:S32-8.
Enterocutaneous fistula. UCSF Medical Center website. Available at: http://www.ucsfhealth.org/conditions/enterocutaneous_fistula/ . Accessed April 2, 2013.
Pritts TA, Fischer DR, Fischer JE. Postoperative enterocutaneous fistula. Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented . Munich: Zuckschwerdt; 2001. Available from: http://www.ncbi.nlm.nih.gov/books/NBK6914/ . Accessed April 2, 2013.
Last reviewed September 2013 by Daus Mahnke, MD